MEDICARE: MARIKLEN KERCINI PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP460006	PA

General Provider Information

NPI Number	:	1730035056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIKLEN KERCINI PHARMD

Provider Business Mailing Address
First Line	:	8118 LEXINGTON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3106
Country	:	US
Telephone Number	:	267-474-5077
Fax Number	:	215-349-8340

Provider Business Practice Location Address
First Line	:	3400 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4238
Country	:	US
Telephone Number	:	215-662-2920
Fax Number	:	215-349-8340

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ MARIKLEN KERCINI PHARMD” Practice Location

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